Dr Kirsten G Hefele, MD - Medicare Family Practice in Chicago, IL

Dr Kirsten G Hefele, MD is a medicare enrolled "Family Medicine" physician in Chicago, Illinois. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Presence Healthcare Services and her current practice location is 2800 N Sheridan Rd Ste 309, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 248-6913.

Dr Kirsten G Hefele is licensed to practice in Illinois (license number 036104387) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992849137.

Contact Information

Dr Kirsten G Hefele, MD
2800 N Sheridan Rd Ste 309,
Chicago, IL 60657-6160
(773) 248-6913
Not Available

Map and Direction




Physician's Profile

Full NameDr Kirsten G Hefele
GenderFemale
SpecialityFamily Practice
Experience28 Years
Location2800 N Sheridan Rd Ste 309, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kirsten G Hefele graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1992849137
  • Provider Enumeration Date: 02/19/2007
  • Last Update Date: 03/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6204847213
  • Enrollment ID: I20060505000176

Medical Identifiers

Medical identifiers for Dr Kirsten G Hefele such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992849137NPI-NPPES
K52343OtherILMEDICARE INDIVIDUAL PTAN
110248408OtherILMEDICARE RAILROAD EMPLOYER PTAN
1447266176OtherILMEDICARE GROUP NPI
036104387MedicaidIL
745950OtherILMEDICARE GROUP PTAN
1992849137OtherILMEDICARE INDIVIDUAL NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036104387 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Presence Saint Joseph Hospital - ChicagoChicago, ILHospital
Presence Saint Francis HospitalEvanston, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Presence Healthcare Services2860396769317

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kirsten G Hefele allows following entities to bill medicare on her behalf.
Entity NameSwedish Covenant Management Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760432348
PECOS PAC ID: 4486556016
Enrollment ID: O20040123000850
Entity NamePresence Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932216819
PECOS PAC ID: 2860396769
Enrollment ID: O20050215000965

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kirsten G Hefele is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kirsten G Hefele, MD
2740 W Foster Ave, Ste 310,
Chicago, IL 60625-3547

Ph: (773) 878-8200
Dr Kirsten G Hefele, MD
2800 N Sheridan Rd Ste 309,
Chicago, IL 60657-6160

Ph: (773) 248-6913

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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